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Survey about doctor, charge cards, election, videos, radio and fruit.

Begin Survey

1. Do you listen to the radio in the car? Yes No

2. Do you have an annual check-up or exam with your family doctor? Yes No

3. Have you made your will? Yes No

4. Do you use online banking? Yes No

5. Do you play any musical instruments? Yes No

6. Do you wear glasses/contacts? Yes No

7. Will you rent a DVD or video this weekend? Yes No

8. Do you use a dishwasher to do your dishes? Yes No

9. Did you vote in the last Presidential election? Yes No

10. Will you visit a therapist or psychiatrist this week? Yes No

11. Are any of your grandparents still alive? Yes No

12. Do you use charge cards? Yes No

13. Would you like a free video or CD-ROM with more information on owning or renting an RV? Yes No

Your Firstname:

Your Emailaddress:

Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Napoleon constructed his battle plans in a sandbox. - Avocados have more protein than any other fruit. - Your thumb is the same length as your nose. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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